Here is how it works. HHS is allowed to spend money without specific approval by Congress on experiments aimed at increasing the efficiency and economy of health services. This 1967 statute has been properly used in the past to study the effects of new medical techniques or strategies aimed at lowering Medicare costs. Obama means to misuse it for a blatantly non-experimental and wholly political purpose. The Government Accounting Office recommends HHS cancel the project. If Obama insists on continuing, Congress should immediately launch a very public investigation.